95 Form 990-EZ Department of the Treasury Internal Revenue Service L CI 49216014304 8 Short Form OMB No 1545-1150 2015 Return of Organization Exempt From income Tax Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code (except private foundations) 60 Do not enter social security numbers on this form as it may be made public. Information about Form 990-EZ and its instructions is at www.irs.gov/form990. A For the 2015 calendar year, or tax year beginning, 2015, and B Check applicable if C Name of organization Address change Name change FAIT H-IN-ACTION In i t i al return Number and street ( or P 0 box, if mail is not delivered to street address) Final return 2747 AGLER ROAD /terminated Amended return City or town, state or province, country, and ZIP or foreign postal code G Accounting Method U Cash U Accrual Other (specify) I Website: J Tax -exempt status (check only one) - X 501(c)(3) 501 K Form of organization. ( Corporation n Trust ing, 20 Room/ suite '4 (insert no ) U 4947(a)(1) or LI 527 Association (l Other D Employer identification number 31-1299926 E Telephone number F Group Exemption Number H Check lo- X If the organization is not required to attach Schedule B (Form 990, 990-EZ, or 990-PF) ^. L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ $ 6,651. Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I) Check if the oroanizatlon used Sched ule 0 to respo nd to any auestion in this Part I. I-1 1 Contributions, gifts, grants, and similar amounts received... -.. - 1 2 Program service revenue including government fees and contracts... 2 6,651. 3 Membership dues and assessments - - 3 4 Investment income - - - 4 5 a Gross amount from sale of assets other than inventory 5a - b Less cost or other basis and sales expenses.... 5b c Gain or ( loss) from sale of assets other than inventory (Subtract line 5b from line 5a) - Sc 6 Gaming and fundraising events a Gross income from gaming (attach Schedule G if greater than $15, 000) 6a b Gross income from fundraising events (not including $ from fundraising events reported on line 1 ) ( attach Schedule G if the sum of such gross income and contributions exceed $15, 000) 6b c Less direct expenses from gaming and fundraising events 6c of contributions d Net income or (loss ) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d 7 a Gross sales of inventory, less returns and allowances 7a b Less cost of goods sold - 7b c Gross profit or (loss ) from sales of inventory (Subtract line 7b from line 7a) 7c 8 Other revenue ( describe in Schedule 0) - 8 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 9 6,651. 10 Grants and similar amounts paid (list in Schedule 0) - 10 11 Benefits paid to or for members 11 4, 12 Salaries, other compensation, and employee benefits - 12 3, 5 0 0. o 13 Professional fees and other payments to independent contractors 13 14 Occupancy, rent, utilities, and maintenance 14 W 15 Printing, publications, postage, and shipping... - - 15 16 Other expenses (describe in Schedule 0). -....... - 16 17 Total expenses. Add lines 10 through 16 17 3,500. 18 Excess or (deficit ) for the year ( Subtract line 17 from line 9) - - 18 3,151. N 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with H end-of-year figure reported on prior year ' s return) 19 34. Z 20 Other changes in net assets or fund balances ( explain in Schedule 0) 20 21 Net assets or fund balances at end of year Combine lines 18 throu g h 20 21 3,185. For Paperwork Reduction Act Notice, see the separate instructions. Form 990-EZ (2015) BCA fill
Form 990-EZ (2015) FAITH-IN-ACTION 31-1299926 Paget Balance Sheets ( see the instructions for Part II) Check if the organization used Schedule O to respond to any question in this Part II F] (A) Beginning of year ( B) End of year 22 Cash, savings, and investments.. 34. 22 3, 18-5. 23 Land and buildings............ 23 24 Other assets (describe in Schedule 0)........... 24 25 Total assets.............. 3 4. 25 3,185. 26 Total liabilities (describe in Schedule 0)...... 26 27 Net assets or fund balances ( line 27 of column ( B) must agree with line 21 ) 34. 27 3,185. Statement of Program Service Accomplishments ( see the instructions for Part III) Check if the organization used Schedule 0 to respond to any question in this Part III. Expenses What is the organization 's primary exempt purpose" AFFORDABLE HOUS INF MENTORING Describe the organization ' s program service accomp l is h men ts for each o f i ts th ree largest program services, as measured by expenses In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each p rogram title 28 AFFORDABLE HOUSING DEDVELOPMENT, AFTER SCHOOL EDUCATION PROGRAMS, YOUTH PROGRAMS, MENTORING (Required for section 501(c)(3) and 501(c )( 4) organizations, optional for others ) 29 (Grants $ ) If this amount includes foreign grants, check here 28a 3,500. 30 (Grants $ ) If this amount includes foreign grants, check here 0, 17 29a (Grants $ ) If this amount includes foreign grants, check here 30a 31 Other program services ( describe in Schedule 0) (Grants $ ) If this amount includes foreign grants, check here 31a 32 Total program service expenses (add lines 28a through 31 a) 32 3,500. MjItM List of Officers, Directors, Trustees, and Key Employees. (list each one even if not compensated - see the instructions for Part IV) Check if the organization used Schedule 0 to respond to any question in this Part IV (b) Average ( o) Reportable h (a) Name and title ours per coin week pensalion Forms W-211099-M SC ) devoted to position (If not paid, enter-0-) C DEXTER WISE PRESIDENT 973 CORBIN CT 43081 4 0 IVRA BASSET SECRETARY 1318 LORETTA AVE 43211 4 0 VICTOR CRUMBLEY MEMBER 2495 NIANTIC DRIVE 43224 3 0 ( d) Health benefits, ntributions to employee benefit plans, and deferred coin ensation a ( ) Estimated amount of other compensation n Bca. Form 990-EZ (2015)
Form 990-EZ (2015 ) FAITH-IN-ACTION 31-1299926 Page3 JiGM Other information ( Note the Schedule A and personal benefit contract statement requirements in the instructions for Part V) Check if the organization used Schedule 0 to respond to any question in this Part V n 33 Did the organization engage in any significant activity not previously reported to the IRS? If " Yes," provide a detailed description of each activity in Schedule 0........... 33 X 34 Were any significant changes made to the organizing or governing documents ' If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization 's name Otherwise, explain the change on Schedule 0 (see instructions) 34 X 35a Did the organization have unrelated business gross income of $1, 000 or more during the year from business activities ( such as those reported on lines 2, 6a, and 7a, among others )'? 35a X b If "Yes ", to line 35a, has the organization filed a Form 990-T for the year? If " No", provide an explanation in Schedule 0 35b C Was the organization a section 501 ( c)(4), 501 ( c)(5), or 501 ( c)(6) organization subject to section 6033 (e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III 35c X 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year'? If "Yes," complete applicable parts of Schedule N... 36 X 37a Enter amount of political expenditures, direct or indirect, as described in the instructions 37a 0 b Did the organization file Form 1120 -POL for this year? 37b X 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? 38a X b If "Yes," complete Schedule L, Part II and enter the total amount involved...... 38b. 39 Section 501 ( c)(7) organizations Enter a Initiation fees and capital contributions included on line 9... 39a b Gross receipts, included on line 9, for public use of club facilities.. 39b 40a Section 501 (c )( 3) organizations Enter amount of tax imposed on the organization during the year under section 491100-, section 4912, section 4955 b Section 501 ( c)(3), 501 ( c)(4), and 501 ( c)(29) organizations Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990 -EZ'? If " Yes," complete Schedule L, Part I 40b X C Section 501 ( c)(3), 501 ( c)(4), and 501 ( c)(29) organizations Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958. d Section 501 ( c)(3), 501 (c)(4), and 501 ( c)(29) organizations Enter amount of tax on line 40c reimbursed by the organization...... e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886 -T........... 40e X 41 List the states with which a copy of this return is filed 42a The organization 's books are in care of C DEXTER WISE Telephone no 614-402-9122 Located at 2 7 4 7 AGLER RD OH COLUMBUS ZIP + 4 43224 b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country ( such as a bank account, securities account, or other financial account)? 42b X If "Yes," enter the name of the foreign country r p See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR) c At any time during the calendar year, did the organization maintain an office outside of the U S '...... 42c X If "Yes," enter the name of the foreign country 43 Section 4947 ( a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 - Check here.. El and enter the amount of tax-exempt interest received or accrued during the tax year J 43 44a Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of b c Form 990-EZ Did the organization operate one or more hospital facilities during the year'? If "Yes," Form 990 must be completed instead of Form 990-EZ Did the organization receive any payments for indoor tanning services during the year? d If "Yes" to line 44c, has the organization filed a Form 720 to report these payments If "No, "provide an explanation in Schedule 0.. 45a Did the organization have a controlled entity within the meaning of section 512(b)(13)'. 45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions) BCA - - - - - ^ - - - - - Form 44aI I X 44b 44c 44d 45a 45b X X X (2015)
Form 990-EZ (2015 ) FAI TH-IN-A CT ION 31-1299926 le 4 No 46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part 1 46 X JUM Section 501 ( c)(3) organizations only All section 501 (c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule 0 to respond to any auestion in this Part VI... n 47 Did the organization engage in lobbying activities or have a section 501(h ) election in effect during the tax year? If "Yes," complete Schedule C, Part II.. 47 X 48 Is the organization a school as described in section 170 (b)(1)(a)(n)? If " Yes," complete Schedule E 48 49a Did the organization make any transfers to an exempt non-charitable related organization? 49a X b If "Yes," was the related organization a section 527 organization?........ 49b 50 Complete this table for the organization ' s five highest compensated employees ( other than officers, directors, trustees and key employees) NONE wno eacn receivea more man ZO i uu,uuu or compensation rrom me org anization it mere is none, enter None (a) Name and title of each employee (b) Average hours per week devoted to position (c) Reportable compensation ( Forms W-211099-MISC) (d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation f Total number of other employees paid over $100,000. 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization If there is none, enter "None " (a) Name and business address of each independent contractor ( b) Type of service (c) Compensation NONE d Total number of other independent contractors each receiving over 52 Did the organization complete Schedule A? Note: All section 501(1 completed Schedule A. Under penalties of perjury, I declare that I have examined this return, including accor belief, it is true, correct, and complete Declaration of preparer (other than officer) is Sign Here kk Signature of officer C DEXTER WISE Type or print name and title Print Type preparer's name Paid PAUL L PATTERSON Preparer Firm's name PATTERS Use Only Firm's P 865 FRANKLI address COLUMBUS OH May the IRS discuss this return with the pre BCA Preparer's signature PAUL L PA' shown above?
SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Public Charity Status'and Public Support Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at Employer identification number FAITH-IN-ACTION 31-1299926 Reason fo r Pub lic Charity Status (All organizations must complete this part.) See instructions The organization is not a private foundation because it is (For lines 1 through 11, check only one box ) 1 LI A church, convention of churches, or association of churches described in section 170 (b)(1)(a)(i). 2 A school described in section 170 (b)(1)(a)(ii). (Attach Schedule E (Form 990 or 990-EZ) ) 3 A hospital or a cooperative hospital service organization described in section 170 (b)(1)(a)(iii). OMB No 1545-0047 2015 4 F1 A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(a)(iii). Enter the hospital 's name, 5 F1 city, and state An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170 (b)(1)(a)(iv). (Complete Part II ) 6 F] A federal, state, or local government or governmental unit described in section 170 (b)(1)(a)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170 ( b)(1)(a)(vi ). (Complete Part li ) 8 LI A community trust described in section 170 (b)(1)(a)(vi). (Complete Part II ) 9 EX An organization that normally receives (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 See section 509 (a)(2). (Complete Part III ) 10 An organization organized and operated exclusively to test for public safety See section 509(a)(4). 11 F] An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of (A) one or more publicly supported organizations described in section 509 (a)(1) or section 509(a )(2). See section 509(a )(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 1le, 11f, and 11g a Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization You must complete Part IV, Sections A and B. b Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s) You must complete Part IV, Sections A and C. c Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions) You must complete Part IV, Sections A, D, and E. d Type Ill non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions) You must complete Part IV, Sections A and D, and Part V. e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization f Enter the number of supported organizations.... g Provide the following information about the supported organization(s) (i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1-9 above (see Instructions)) (iv) is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990 -EZ. Schedule A (Form 990 or 990 -EZ) 2015 BCA
FAITH-IN-ACTION 31-1299926 Schedule A (Form 990 or 990-EZ) 2015 Page 3 WOMW Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below, please complete Part II ) Section A. Public SuoDort ;alendar year ( or fiscal year beginning in ) (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total I Gifts, grants, contributions, and membership fees received include any "unusual grants ") (Do not 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 6651. 6651. 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total. Add lines 1 through 5. 6 6 51. 6 6 51. 7a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1 % of the amount on line 13 for the year..... c Add lines 7a and 7b... 8 Publi c support. (Subtract line 7c from line 6) 6 6 51. Section B. Total Support Calendar year (or fiscal year beginning in) (a) 2011 ( b) 2012 ( c) 2013 ( d) 2014 (e) 2015 (f) Total 9 Amounts from line 6 6651. 6651. 10a c b Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources. Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30,1975 Add lines 10a and 10b 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on 12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part VI)... 13 Total support. (Add lines 9, 10c, 11, and 12) 6651. 6651. 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here n Section C. Computation of Public Support Percentage 15 Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) 15 10 0. 0 0 % 16 Public support percentage from 2014 Schedule A, Part III, line 15 ^161 0. 00 % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) 17 0. 00 % 18 Investment income percentage from 2014 Schedule A, Part III, line 17 18 0. 00 % 19a 33 1 /3% support tests - 2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization. b 33 1 /3% support tests - 2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization. F] 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions n BCA Schedule A (Form 990 or 990 -EZ) 2015